Review Article

Magnetic resonance imaging of classified and unclassified Müllerian duct anomalies: Comparison of the American Society for Reproductive Medicine and the European Society of Human Reproduction and Embryology classifications

Devimeenal Jegannathan, Venkatraman Indiran
South African Journal of Radiology | Vol 22, No 1 | a1259 | DOI: https://doi.org/10.4102/sajr.v22i1.1259 | © 2018 Devimeenal Jegannathan, Venkatraman Indiran | This work is licensed under CC Attribution 4.0
Submitted: 01 August 2017 | Published: 23 April 2018

About the author(s)

Devimeenal Jegannathan, Department of Radiology, Government Kilpauk Medical College, India
Venkatraman Indiran, Department of Radiodiagnosis, Sree Balaji Medical College and Hospital, India


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Abstract

Magnetic resonance imaging (MRI), due to its optimal delineation of anatomy, has become the mainstay in imaging for diagnosing Müllerian duct anomalies (MDA). Pelvic MRI is requested for various conditions such as primary amenorrhoea, infertility or poor obstetric history with regard to MDA, as identifying the exact aetiology for these conditions is vital. Knowledge regarding the classification of MDA is important, as the treatment varies with respect to the different classes. As all the lesions do not fit within the classification of the American Society for Reproductive Medicine, a new anatomy-based classification was established by the European Society of Human Reproduction and Embryology and the European Society for Gynecological Endoscopy, to fulfil the needs of experts. We aim to discuss various classes of classified and unclassified MDA with regard to both the above-mentioned classifications and illustrate some of them using various cases based on pelvic MRI studies.

Keywords

Mullerian duct; anomalies; infertility; classification

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